Guidelines for Adult Stroke Rehabilitation and Recovery

게시일 2016-06-03 14:00

Guidelines for Adult Stroke Rehabilitation and RecoveryA Guideline for Healthcare Professionals From the American HeartAssociation/American Stroke AssociationEndorsed by the American Academy of Physical Medicine and Rehabilitation and theAmerican Society of NeurorehabilitationThe American Academy of Neurology affirms the value of this guideline as an educational tool forneurologists and the American Congress of Rehabilitation Medicine also affirms the educational valueof these guidelines for its members

Purpose—The aim of this guideline is to provide a synopsis of best clinical practices in the rehabilitative care of adultsrecovering from stroke.Methods—Writing group members were nominated by the committee chair on the basis of their previous work in relevant topic areas and were approved by the American Heart Association (AHA) Stroke Council’s Scientific StatementOversight Committee and the AHA’s Manuscript Oversight Committee. The panel reviewed relevant articles on adultsusing computerized searches of the medical literature through 2014. The evidence is organized within the context of the AHA framework and is classified according to the joint AHA/American College of Cardiology and supplementary AHAmethods of classifying the level of certainty and the class and level of evidence. The document underwent extensive AHA internal and external peer review, Stroke Council Leadership review, and Scientific Statements Oversight Committee review before consideration and approval by the AHA Science Advisory and Coordinating Committee.Results—Stroke rehabilitation requires a sustained and coordinated effort from a large team, including the patient andhis or her goals, family and friends, other caregivers (eg, personal care attendants), physicians, nurses, physical andoccupational therapists, speech-language pathologists, recreation therapists, psychologists, nutritionists, social workers,and others. Communication and coordination among these team members are paramount in maximizing the effectiveness and efficiency of rehabilitation and underlie this entire guideline. Without communication and coordination, isolated efforts to rehabilitate the stroke survivor are unlikely to achieve their full potential.